Ham’s primary care geriatrics test bank 2023
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Principles of Primary Care of Older Adults
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,Ham’s primary care geriatrics test bank 2023
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Chapter 1. f
MULTIPLE CHOICE f
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
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The nurse would use these standards to:
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a. promote the practice of gerontologic nursing within the acute care setting.
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b. define the concepts and dimensions of gerontologic nursing practice.
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c. elevate the practice of gerontologic nursing. f f f f f
d. incorporate suggested interventions from others who practice gerontologic nursing. f f f f f f f f
RIGHT ANSWER: f
D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
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incorporates the input of gerontologic nurses from across the United States. It was not intended to
f f f f f f f f f f f f f f f f
promote gerontologic nursing practice within acute care settings, define concepts or dimensions
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of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
f f f f f f f f f f f
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-1 TOP:
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N/A MSC: Safe and Effective Care Environment
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2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
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nurse needs to first:
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a. recognize that nurses must act as advocates for aging patients. f f f f f f f f f
b. accept that this population represents a substantial portion of those requiring nursing care.
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c. self-reflect and formulate ones personal view of aging and the older patient. f f f f f f f f f f f
d. recognize ageism as a form of bigotry shared by many Amerians. f f f f f f f f f f
RIGHT ANSWER: C
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Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
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population as a whole. With nurses being members of a society holding such views, it is critical
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that the individual nurse self-reflect on personal feelings and determine whether such feelings
f f f f f f f f f f f f f f
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
f f f f f f f f f f f f f f f f f f f ff
important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does
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recognizing ageism as a form of bigotry.
f f f f f f f
DIF: Applying (Application) REF: N/A OBJ: 1-9
f f f f f f
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
f f f f f f f
3. When discussing factors that have helped to increase the number of healthy, independent older
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Americans answer, the nurse includes the importance of:
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a. increased availability of in-home care services. f f f f f
b. government support of retired citizens. f f f f
c. effective antibiotic therapies. f f
d. the development of life-extending therapies.
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RIGHT ANSWER: C
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The health and ultimate autonomy of older Americans has been positively impacted by the
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development of antibiotics, better sanitation, and vaccines. These public health measures have
f f f f f f f f f f f f f
been more instrumental in increasing the numbers of healthy, independent older Americans
f f f f f f f f f f f f f
,Ham’s primary care geriatrics test bank 2023
f f f f f f
thanhave in-home care services, government programs, or life-extending therapies. DIF:
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Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
f f f f f f f
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
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4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
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includes the patients:
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a. nonrelated caretaker. f
b. paid caregiver.f
c. family member. f
d. intuitional representative. f
RIGHT ANSWER: C
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Less than 4% of older adults live in a formal health care environment. The majority of the geriatric
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population lives at home or with family members.
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DIF: Applying (Application) REF: N/A OBJ: 3-3
f f f f f f
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
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, Ham’s primary care geriatrics test bank 2023
f f f f f f
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
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arthritis views the priority criterion for continued independence to be the patients:
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a. age.
b. financial status. f
c. gender.
d. functional status. f
RIGHT ANSWER: D
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Maintaining the functional status of older adults may avert the onset of physical frailty and
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cognitive impairment, two conditions that increase the likelihood of institutionalization.
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DIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
f f f f f f f f
TOP: Nursing Process: Planning MSC: Physiologic Integrity
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6. A nurse working with the older adult population is most likely to assess a need for a financial
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social services referral for a(n):
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a. white male. f
b. black female. f
c. Hispanic male. f
d. Asian American female. f f
RIGHT ANSWER: B
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The poverty rate among older black women is substantially higher than that seen among males or
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females of other ethnic groups. White males had the least poverty.
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DIF: Applying (Application) REF: N/A OBJ: 1-4
f f f f f f
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
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7. Which of the following statements made by a nurse preparing to complete a health assessment
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and history on an older patient reflects an understanding of the general health status of this
f f f f f f f f f f f f f f f f
population?
f
a. Ill need to document well regarding the medications the patient is currently prescribed.
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b. I would like to understand how supportive the patients family members are.
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c. Most older patients are being treated for a variety of chronic health care issues.
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d. It will be interesting to see whether this patient sees herself as being healthy.
f f f f f f f f f f f f f
RIGHT ANSWER: D
f f f
It is a misconception that old age is synonymous with disease and illness. The nurse should
f f f f f f f f f f f f f f f f
always determine the patients sense of wellness and independence when conducting a health and
f f f f f f f f f f f f f f
history assessment. An assessment of medication use and family support is important for any
f f f f f f f f f f f f f f f
patient. Many older adults do have chronic health conditions, but their perception is more
f f f f f f f f f f f f f f f
important than a single number.
f f f f f
DIF: Applying (Application) REF: N/A OBJ: 1-4
f f f f f f
TOP: Nursing Process: Assessment MSC: Health Promotion
f f f f f f
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
f f f f f f f f f f f f f f f f f
treatment of a fractured femur. The family expresses concern about the patients pending trright
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answerferto a subacute care facility. What response by the nurse is best?
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a. Acute care facilities lack the long-term physical therapy support your dad requires.
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b. Your dad will be much happier in a more serene, private environment.
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c. The subacute facility will focus on helping your dad maintain his independence.
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d. Insurance, including Medicare, will cover only a limited amount of time here. f f f f f f f f f f f
RIGHT ANSWER: C
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The trright answerfer of the patient to a subacute facility is based on the need to maintain the
f f f f f f f f f f f f f f f f f f
patients level of function and independence, a task the acute care facility is not prepared to
f f f f f f f f f f f f f f f f f
address oncethe patient is physiologically stable. The patient may or may not be happier in the
f f f f f f f f f f f f f f f f f
new setting; the nurse should not make this judgment. It is true that insurance only pays for a
f f f f f f f f f f f f f f f f f f f
limited amountof time in an acute care facility, but this is not the best reason for the patient to
f f f f f f f f f f f f f f f f f f f f
trright answerfer. DIF: Applying (Application) REF: N/A OBJ: 1-6
f f f f f f f f f
TOP: Communication and Documentation
f f f
f f f f f f
Principles of Primary Care of Older Adults
f f f f f f
,Ham’s primary care geriatrics test bank 2023
f f f f f f
Chapter 1. f
MULTIPLE CHOICE f
1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
f f f f f f f f f f f f
The nurse would use these standards to:
f f f f f f f
a. promote the practice of gerontologic nursing within the acute care setting.
f f f f f f f f f f
b. define the concepts and dimensions of gerontologic nursing practice.
f f f f f f f f
c. elevate the practice of gerontologic nursing. f f f f f
d. incorporate suggested interventions from others who practice gerontologic nursing. f f f f f f f f
RIGHT ANSWER: f
D
The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
f f f f f f f f f f f f f
incorporates the input of gerontologic nurses from across the United States. It was not intended to
f f f f f f f f f f f f f f f f
promote gerontologic nursing practice within acute care settings, define concepts or dimensions
f f f f f f f f f f f ff
of gerontologic nursing practice, or elevate the practice of gerontologic nursing.
f f f f f f f f f f f
DIF: Remembering (Knowledge) REF: msc: 2 OBJ: 1-1 TOP:
f f f f f f f f
N/A MSC: Safe and Effective Care Environment
f f f f f f f
2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
f f f f f f f f f f f f f f f
nurse needs to first:
f f f f
a. recognize that nurses must act as advocates for aging patients. f f f f f f f f f
b. accept that this population represents a substantial portion of those requiring nursing care.
f f f f f f f f f f f f
c. self-reflect and formulate ones personal view of aging and the older patient. f f f f f f f f f f f
d. recognize ageism as a form of bigotry shared by many Amerians. f f f f f f f f f f
RIGHT ANSWER: C
f f f
Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
f f f f f f f f f f f f f f f f
population as a whole. With nurses being members of a society holding such views, it is critical
f f f f f f f f f f f f f f f f f f
that the individual nurse self-reflect on personal feelings and determine whether such feelings
f f f f f f f f f f f f f f
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is an
f f f f f f f f f f f f f f f f f f f ff
important nursing role in all settings. Simply accepting a fact does not help end ageism, nor does
f f f f f f f f f f f f f f f f ff
recognizing ageism as a form of bigotry.
f f f f f f f
DIF: Applying (Application) REF: N/A OBJ: 1-9
f f f f f f
TOP: Teaching-Learning MSC: Safe and Effective Care Environment
f f f f f f f
3. When discussing factors that have helped to increase the number of healthy, independent older
f f f f f f f f f f f f f
Americans answer, the nurse includes the importance of:
f f f f f f f f
a. increased availability of in-home care services. f f f f f
b. government support of retired citizens. f f f f
c. effective antibiotic therapies. f f
d. the development of life-extending therapies.
f f f f
RIGHT ANSWER: C
f f f
The health and ultimate autonomy of older Americans has been positively impacted by the
f f f f f f f f f f f f f f
development of antibiotics, better sanitation, and vaccines. These public health measures have
f f f f f f f f f f f f f
been more instrumental in increasing the numbers of healthy, independent older Americans
f f f f f f f f f f f f f
,Ham’s primary care geriatrics test bank 2023
f f f f f f
thanhave in-home care services, government programs, or life-extending therapies. DIF:
f f f f f f f f f f
Remembering (Knowledge) REF: msc: 2 OBJ: 3-3
f f f f f f f
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
f f f f f f f f
4. Based on current data, when presenting an older adults discharge teaching plan, the nurse
f f f f f f f f f f f f f
includes the patients:
f f f
a. nonrelated caretaker. f
b. paid caregiver.f
c. family member. f
d. intuitional representative. f
RIGHT ANSWER: C
f f f
Less than 4% of older adults live in a formal health care environment. The majority of the geriatric
f f f f f f f f f f f f f f f f f
population lives at home or with family members.
f f f f f f f f
DIF: Applying (Application) REF: N/A OBJ: 3-3
f f f f f f
TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment
f f f f f f f f f
, Ham’s primary care geriatrics test bank 2023
f f f f f f
5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
f f f f f f f f f f f f f f
arthritis views the priority criterion for continued independence to be the patients:
f f f f f f f f f f f f
a. age.
b. financial status. f
c. gender.
d. functional status. f
RIGHT ANSWER: D
f f f
Maintaining the functional status of older adults may avert the onset of physical frailty and
f f f f f f f f f f f f f f
cognitive impairment, two conditions that increase the likelihood of institutionalization.
f f f f f f f f f f
DIF: Remembering (Knowledge) REF: msc: 8 OBJ: 1-6
f f f f f f f f
TOP: Nursing Process: Planning MSC: Physiologic Integrity
f f f f f f f
6. A nurse working with the older adult population is most likely to assess a need for a financial
f f f f f f f f f f f f f f f f f
social services referral for a(n):
f f f f f
a. white male. f
b. black female. f
c. Hispanic male. f
d. Asian American female. f f
RIGHT ANSWER: B
f f f
The poverty rate among older black women is substantially higher than that seen among males or
f f f f f f f f f f f f f f f
females of other ethnic groups. White males had the least poverty.
f f f f f f f f f f f
DIF: Applying (Application) REF: N/A OBJ: 1-4
f f f f f f
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
f f f f f f f f f
7. Which of the following statements made by a nurse preparing to complete a health assessment
f f f f f f f f f f f f f f
and history on an older patient reflects an understanding of the general health status of this
f f f f f f f f f f f f f f f f
population?
f
a. Ill need to document well regarding the medications the patient is currently prescribed.
f f f f f f f f f f f f
b. I would like to understand how supportive the patients family members are.
f f f f f f f f f f f
c. Most older patients are being treated for a variety of chronic health care issues.
f f f f f f f f f f f f f
d. It will be interesting to see whether this patient sees herself as being healthy.
f f f f f f f f f f f f f
RIGHT ANSWER: D
f f f
It is a misconception that old age is synonymous with disease and illness. The nurse should
f f f f f f f f f f f f f f f f
always determine the patients sense of wellness and independence when conducting a health and
f f f f f f f f f f f f f f
history assessment. An assessment of medication use and family support is important for any
f f f f f f f f f f f f f f f
patient. Many older adults do have chronic health conditions, but their perception is more
f f f f f f f f f f f f f f f
important than a single number.
f f f f f
DIF: Applying (Application) REF: N/A OBJ: 1-4
f f f f f f
TOP: Nursing Process: Assessment MSC: Health Promotion
f f f f f f
8. The nurse is caring for an older adult who has been admitted to an acute care hospital for
f f f f f f f f f f f f f f f f f
treatment of a fractured femur. The family expresses concern about the patients pending trright
f f f f f f f f f f f f f f
answerferto a subacute care facility. What response by the nurse is best?
f f f f f f f f f f f f
a. Acute care facilities lack the long-term physical therapy support your dad requires.
f f f f f f f f f f f
b. Your dad will be much happier in a more serene, private environment.
f f f f f f f f f f f
c. The subacute facility will focus on helping your dad maintain his independence.
f f f f f f f f f f f
d. Insurance, including Medicare, will cover only a limited amount of time here. f f f f f f f f f f f
RIGHT ANSWER: C
f f f
The trright answerfer of the patient to a subacute facility is based on the need to maintain the
f f f f f f f f f f f f f f f f f f
patients level of function and independence, a task the acute care facility is not prepared to
f f f f f f f f f f f f f f f f f
address oncethe patient is physiologically stable. The patient may or may not be happier in the
f f f f f f f f f f f f f f f f f
new setting; the nurse should not make this judgment. It is true that insurance only pays for a
f f f f f f f f f f f f f f f f f f f
limited amountof time in an acute care facility, but this is not the best reason for the patient to
f f f f f f f f f f f f f f f f f f f f
trright answerfer. DIF: Applying (Application) REF: N/A OBJ: 1-6
f f f f f f f f f
TOP: Communication and Documentation
f f f
